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SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Published by Universitas Airlangga
ISSN : -     EISSN : 26560895     DOI : https://doi.org/10.20473/spmrj.v2i1.16875
Core Subject : Health, Engineering,
Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology
Surabaya Physical Medicine and Rehabilitation Journal focused on both basic science and clinical study, with following topics: Neuromuscular rehabilitation Musculoskeletal rehabilitation Pediatric rehabilitation Cardiorespiratory rehabilitation Sport rehabilitation Geriatric rehabilitation This Journal also invites contributors from all associated disciplines.
Arjuna Subject : Kedokteran - Rehabilitasi
Articles 94 Documents
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Secondary Prevention Program through Hybrid Tele-Cardiac Rehabilitation using a Combination of Vigorous-intensity Interval Training and Low-Intensity Home-based Exercise in Patient with Refractory Angina Post-Percutaneous Coronary Intervention Nazir, Arnengsih; Anggraini, Gabriela; Nurhalizah, Hana Athaya
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.50150

Abstract

Background: Refractory angina (RA) refers to symptoms lasting >3 months due to reversible ischemia occurring with coronary artery disease, which cannot be controlled by increased medical therapy or revascularization including percutaneous coronary intervention (PCI). It may result in a significant impact on patient outcomes such as exercise limitation, biopsychosocial disorders, and decreased quality of life. Participation of patients with RA in cardiac rehabilitation (CR) reduces angina frequency and increases exercise capacity. Exercise-based CR also improves endothelial function, reduces oxidative stress and arterial stiffness, and improves myocardial perfusion. CR is also known as a secondary prevention program with the main goal to help patients return to their normal activities by increasing their functional capacity and preventing long-term complications. Case illustration: A 64-year-old male has undergone PCI and experienced RA. This patient was given a CR program to increase his functional capacity as a secondary prevention of cardiovascular disease through a center-based combined with a home-based CR program. Aerobic exercise given was hospital-based vigorous-intensity interval training and low-intensity home-based exercise. Problems found were refractory angina that often appeared during activity, and low cardiorespiratory endurance or muscular fitness. Angina symptoms and hand grip strength improved after 2 weeks, even though muscular fitness classification was still poor. During the program, he could achieve the exercise heart rate target without any symptoms. After 4 weeks, hand grip strength and physical activity were improved, and an exercise test revealed no symptoms during the test, appropriate hemodynamic response, and good fitness classification. However, there were still frequent VES with couplet episodes, so the patient was still classified as high-risk stratification. Although risk stratification was still high, the patient was allowed to enter phase III CR, with the prescription of moderate-intensity aerobic, low-intensity resistance, flexibility, and breathing exercises. These exercises were given based on recommendations for the average adult to maintain his level of physical activity and promote lifelong healthy behavior. Conclusion: Hybrid tele-cardiac rehabilitation through a combination of vigorous-intensity interval training and low-intensity home-based exercise in a patient with refractory angina post-PCI improved functional capacity as a key component for the prevention of long-term cardiac or non-cardiac complications.
Factors Predictive of the Level Of Physical Activity (PA) in Patients with Gonarthrosis in Sub-Saharan Africa Tiaho, Yirozounlomian; Ayouba, Tinni Ismael; Sougue, Charles; Tougma, Gouzé-Wend Louis; Kabore, Fulgence; Gandema, Salifou; Zabsonre/Tiendrebeogo, Wendlassida Joelle Stéphanie; Ouedraogo, Dieu-Donné
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 1 (2024): SPMRJ, FEBRUARY 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i1.50164

Abstract

Background: Our aim was to determine the predictive factors of the level of physical activity (PA) in patients with gonarthrosis in the city of Ouagadougou (Burkina Faso). Methods: This was a cross-sectional, descriptive and analytical study based on clinical records, conducted from January 9 to 27, 2023. Using the International Physical Activity Questionnaire (IPAQ), we assessed the level of PA in patients followed at CHU-Bogodogo for gonarthrosis. The significance threshold p<0.05 was retained. Results: Sixty-seven patients were included. Fifty-six were women (83.58%). The mean age was 59.87± 12.53 years. Hypertension was noted in 34 patients (50.75%), diabetes in 16 (23.88%). The mean BMI was 28.70kg/m2± 6.73. Gonarthrosis was bilateral in 49 patients (73.13%). Gonarthrosis patients had a moderate level of PA, with a mean IPAQ score equal to 635.24±135 MET-minutes/week. 45 patients (67.16%) had a low level of physical activity (Ë‚ 600 MET-minutes/week). In bivariate analysis, low PA was associated with age over 65 [OR=5.62, (CI=1.45-21.73), p<0.001], hypertension [OR=2.83, (CI=1.27-6.31), p<0.001], diabetes [OR=2.14, (CI=1.13-5.89), p<0.031], and overweight [OR=2.43, (CI=1.17-6.12), p<0.026]. Moderate PA was associated with age under 65 [OR=1.71, (CI=1.25-2.34), p<0.005] and absence of hypertension [OR=1.86, (CI=1.19-2.89), p<0.012]. Conclusion : Gonarthrosis patients have a moderate level of PA. Factors associated with low PA were advanced age and sedentary comorbidities. Key words: Gonarthrosis, physical activity, Ouagadougou/Burkina Faso
Home Based Cardiac Rehabilitation in Cardiovocal Syndrome Manuaba, Ida Ayu Wulan Kartika Dewi; Dharma, Bagus Diva Indra; Silakarma, Dedi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 1 (2024): SPMRJ, FEBRUARY 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i1.50232

Abstract

Cardiovascular disease is one of the highest causes of death and disability in the world. Cardiac Rehabilitation has an important role in the management of patients with heart diseases. This article reported a Cardiac Rehabilitation for a 22-year-old male patient with Cardiovocal Syndrome, a rare condition characterized by heart failure accompanied by hoarseness. The Cardiac Rehabilitation in this case was a phase 2 Cardiac Rehabilitation that carried out as Home based Cardiac Rehabilitation. We performed the 6MWT for the patient to assess his physical endurance. After 3 months of Cardiac Rehabilitation program, patient has physical endurance was improved, his voice was back to normal and he was able to return to work.
The Effect of Virtual Reality Game Training on Improving Walking Speed and Dynamic Balance Function After Stroke Lampah, Christopher; Berhimpon, Siemona L. E.; Durry, Meilany Feronika; Anggana, Brain; Suyono, Jonathan Prayogi; Setiono, Alfred
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 1 (2024): SPMRJ, FEBRUARY 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i1.51182

Abstract

Background: Stroke is a serious health condition that can cause physical and cognitive impairment, affecting a person's ability to perform daily activities. Important factor that affect the quality of life of stroke patients is the ability to mobilize, especially walking. Virtual Reality is expected to increase walking speed and dynamic balance which are important to improve patient mobility and independence. Aim(s) : Analyse the effect of Virtual Reality (VR) game training using Xbox 360° and KinectTM devices on post-stroke walking speed and balance Material and methods: An experimental study involving 18 ischemic post-stroke patients at the Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado (from June to July 2023). The intervention was a 30 minutes VR game exercises with three sessions per week (a total of 8 sessions for each subject). This subject was assessed using the 10-meter Walk Test (10 MWT) and the Berg Balance Scale (BBS). Result: There were significant improvements in both walking speed and dynamic balance. Wilcoxon Signed Ranks test results on Walking Speed (10 MWT) obtained a value of Z = -3,754 with a value of (p = 0.000 <0.05). Similar results were obtained in testing the dynamic balance function where the paired t test results were obtained at t = -14.750. The results indicate significant differences in the mean value of Subacute Post-Stroke BBS before and after training (p < 0.05). Conclusions: Virtual Reality (VR) game training using Xbox 360° and KinectTM devices significantly increased walking speed and balance in post-stroke patients.
Physical Medicine and Rehabilitation Approach of Elderly with Atypical COVID-19 Symptoms Widjanantie, Siti Chandra; Burhan, Erlina; Susanto, Agus Dwi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.51713

Abstract

COVID-19 has affected the older population disproportionately. These patients are prone to have more severe COVID-19. Clinical manifestation of COVID-19 in the geriatric can be atypical and differs from the younger population. We report an 80-year-old male with atypical presentation of COVID-19. In this case report, we describe a COVID-19 patient with anorexia and gastrointestinal symptoms. We also describe the multidisciplinary aspect of physical medicine and rehabilitation management of the patient. Clinical manifestations in geriatric with COVID-19 can be atypical. Symptoms experienced may include anorexia and gastrointestinal tract symptoms. A multidisciplinary approach is needed to manage more seniors with COVID-19 and maximize their functional abilities.
Telerehabilitation for Geriatric with Dementia and Long Covid-19 Melinda Harini; Ika Fitriana; Satyanaya Widyaningrum; Deddy Tedjasukmana; Yunisa Trivarsary; Intan Savitri; Siti Dwi Astuti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.53248

Abstract

Rehabilitation is crucial for individuals who have survived COVID-19, particularly those who are older and have pre-existing health conditions. These survivors may experience long covid symptoms up to four months after infection. Elderly individuals suffering from long covid face difficulties in undergoing conventional rehabilitation methods due to limitations in mobility, lack of social interaction, and inadequate healthcare accessibility. As a result, telerehabilitation has arisen as an alternate form of care. This case report intends to present empirical evidence on the enhancement of functional status in a geriatric long covid patient following telerehabilitation. We present a case of an elderly woman with underlying dementia who developed long covid. The symptoms included of dyspnea and mobility impairment. We provide a telerehabilitation program for three weeks with an active-assisted range of motion exercises. Following three sessions of telerehabilitation, we could see improvement in her Physical Mobility Scale (PMS). After 20 days, the patient's PMS score increased by 3 points.
Acute Effects of Combination Dynamic Stretching and Warming Up on Functional Performance in Non-Athlete Salsabila Zahroh; Lydia Arfianti; Arni Kusuma Dewi; Qarib, Mohammad Fathul; Sofiatun
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.55107

Abstract

Abstract Background: Warming up is an activity carried out before exercise or competition to optimize performance. Dynamic stretching is a type of stretching that is applied as a part of warming up. Previous study showed that dynamic stretching had an acute effect on functional performance in athletes. But, acute effects on functional performance in non athletes have not been studied yet. Aim: To prove that the addition of dynamic stretching during warming up has an acute effect on functional performance. Material and Methods: This study uses an experimental method of randomized controlled trial post test design on 44 physically active young adults in non athlete level who were divided into two research groups. The intervention group completed 5 minute jogging and dynamic stretching whereas the control group completed 5 minute jogging without stretching then each group performed a modified 20-m sprint run test and triple hop for distance test. Result: There is no statistical significant difference in comparison between groups. On speed showed that p values = 0.845 (p> 0.05) and on power showed that p values = 0.366 (p>0.05). Conclusion: Addition of dynamic stretching during warming up has not been proven to have a better acute effect on speed and power in non-athlete young adults.Keywords: Dynamic Stretching, Functional Performance, Warming Up
Profile of Sarcopenia in Elderly Patients at The Medical Rehabilitation Outpatient Department Dr. Soetomo General Academic Hospital Farhan Nurdiansyah; Rwahita Satyawati Dharmanta; Hadiq Firdausi; Nuniek Nugraheni Sulistiawati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.55119

Abstract

The elderly group is the age group that is most susceptible to geriatric syndromes, one of which is sarcopenia. Sarcopenia is a syndrome characterized by a progressive and overall decrease in muscle mass and skeletal muscle strength with an increased risk of disability, decreased quality of life, and death. Currently, research on sarcopenia profiles, particularly in Indonesia, is still limited. This research data is expected to help determine policies to improve the quality of services in the health sector. This study used the SARC-F questionnaire and the risk factor questionnaire for sarcopenia in elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo and has been permitted by the Penelitian dan Pengembangan (LitBang) section RSUD Dr. Soetomo, Surabaya. Several variables used in this study were gender, age, weight, height, body mass index (BMI), other diseases, physical activity, mood, and sarcopenia. There were 25 elderly patients at the Medical Rehabilitation Outpatient Department at RSUD Dr. Soetomo, Surabaya in November 2022”January 2023 which met the research inclusion criteria. The age of elderly patients at the Medical Rehabilitation Outpatient Department at RSUD Dr. Soetomo ranged from 60”81 years old, with an average of 60.48 years old. Female is the most common gender among the elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo, there are 17 (68%) female elderly patients. 80% of the elderly patients were in the young elderly group (60”69 years old), 16% in the middle elderly group (70”79 years old), and 4% in the old elderly group (≥80 years old). Age, gender, other diseases, and physical activity are risk factors that have a significant correlation with sarcopenia among elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo.
Bone Adaptation Process on Post-menopausal Women after Speed Play Walking Exercise with Medium & High Increased Cadence Tinduh, Damayanti; Rosita, Primadita Esther; Mei Wulan, Sri Mardjiati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.59596

Abstract

Background: Postmenopausal period is usually marked by dominancy of osteoclast activity, which leads to a decrease in bone mass. Speed Play Walking Exercise (SPWE) could be an important mechanical strategy for maintaining bone cell activity in postmenopausal women. Aim(s): This study evaluated the rate of increased cadence in SPWE, which can reduce bone resorption and increase bone formation activities, associated with body mass index. Material and methods: This was four group pre-post intervention design randomized clinical trial, included 32 postmenopausal women in normal-weight (NW) vs. overweight (OW) groups, divided into 2 groups of different walking speeds. The intervention is SPWE method with increased 15-35% or 50-80% from initial cadence as intervention target cadence, alternated with usual cadence, 3 times a week, for 4 weeks duration. Variables are baseline CTx and NMid osteocalcin serum taken on pre and post 4 weeks exercise. Result: sNMid osteocalcin was increased in groups walked with 15-35% increased cadence compared to group walked with 50-80% increased cadence (p=0.002 for NW group and p=0.042 for OW group, respectively). NW group walked with 50-80% increased cadence showed the most decreased bone formation marker (p=0.019). CTx/NMid ratio is reduced in NW group walked with 15-35% increased cadence, on the other hand, OW group walked with 50-80% increased cadence showed the most increased trend of CTx/NMid ratio. Conclusions: To maintain bone formation activity, SPWE with a rate of 15-35% increased from initial cadence is suggested for postmenopausal women, however the benefit is more visible in women with normal-weight.
Unveiling the Potential of Perineural Injection Therapy in Trigeminal Neuralgia Management Vivid Prety Anggraini; Razi, Fakhrur
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.56458

Abstract

Trigeminal neuralgia is characterized by severe pain that is restricted to the trigeminal nerve and frequently causes abrupt, severe bouts in the face. About 80% of cases of classical trigeminal neuralgia are classed as idiopathic. With the use of the Numeric Rating Scale (NRS) and the SF-36 questionnaire, this case study aims to determine how perineural injection therapy (PIT) affects pain relief in early trigeminal neuralgia cases and how it can affect patient function. The patient presented with a history of 8 years persistent facial pain, localized to the right side of the face. Described as sharp and intermittent, the pain rated between 6 on the Numeric Rating Scale (NRS). It was exacerbated by activities such as chewing and combing, yet alleviated by rest and medication. Injections of a 5% dextrose solution in sterile water (D5W) are administered subcutaneously and intracutaneously at the trigeminal nerve point. The PIT has been performed three times. with an injection interval of 2-3 weeks. Injections are made at the trigeminal nerve point, based on the Lyftogt book. The NRS score on first injection was changed from 6 to 2, second injection was from 2 to 1, and third injection was 1 before and after injection. The quality of life is better than before. SF-36 questionnaire showed a change from 50-75% on first injection, 75-100% on second injection, and 100% on the third injection. This study showed that PIT can improve patient's pain and patient's quality of life.

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